Signs and Symptoms Checklist
Check all symptoms you have observed:
Blur when looking up close
Double vision
Headaches
Poor reading comprehension
Words run together when reading
Burning, itchy, watery eyes
Falls asleep when reading
Sees worse at the end of the day
Skips/repeats lines when reading
Dizziness/nausea
Tilts head/closes one eye when reading
Difficulty copying schoolwork
Avoids near work/reading
Omits small words when reading
Writes uphill or downhill
Misaligned digits or columns of numbers
Poor/inconsistent in sports
Holds reading material too close
Trouble keeping attention on reading
Difficulty finishing assignments on time
Avoids sports or games
Poor handwriting
Does not judge distance accurately
Clumsy/knocks things over
Car/motion sickness
Labeled “lazy”, “slow learner”, “ADHD” or “behavior problem”
